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Cost of Endoscopic Third Ventriculostomy in Major Cities of India
| City | Minimum Cost (USD) | Minimum Cost (INR) | Maximum Cost (USD) | Maximum Cost (INR) |
|---|---|---|---|---|
| Bangalore | USD 5100 | 436764 | USD 7100 | 608044 |
| Chennai | USD 5100 | 436764 | USD 7100 | 608044 |
| Delhi | USD 5100 | 436764 | USD 7100 | 608044 |
| Faridabad | USD 5100 | 436764 | USD 7100 | 608044 |
| Ghaziabad | USD 5100 | 436764 | USD 7100 | 608044 |
| Gurgaon | USD 5100 | 436764 | USD 7100 | 608044 |
| Hyderabad | USD 5100 | 436764 | USD 7100 | 608044 |
| Kochi | USD 5100 | 436764 | USD 7100 | 608044 |
| Kolkata | USD 5100 | 436764 | USD 7100 | 608044 |
| Mohali | USD 4590 | 393088 | USD 6390 | 547240 |
| Mumbai | USD 5100 | 436764 | USD 7100 | 608044 |
| Noida | USD 5100 | 436764 | USD 7100 | 608044 |
| Panjim | USD 4590 | 393088 | USD 6390 | 547240 |
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Endoscopic third ventriculostomy (ETV) is a surgical procedure used to treat obstructive hydrocephalus, a condition characterized by the accumulation of cerebrospinal fluid (CSF) in the brain. CSF is produced in the ventricular system of the brain, which consists of four cavities - two lateral ventricles, the third ventricle, and the fourth ventricle - interconnected by channels.
The third ventricle, situated centrally above the base of the skull, plays a crucial role in CSF circulation. In cases of obstructive hydrocephalus, CSF flow is impeded due to blockage, often occurring at the passage between the third and fourth ventricles, known as the cerebral aqueduct.
ETV involves creating a new pathway for CSF to bypass the blockage by making a small hole in the floor of the third ventricle using an endoscope. This allows CSF to flow directly into the subarachnoid space surrounding the brain, relieving pressure and reducing ventricle enlargement.
Classification:
Based on the Underlying Cause of Hydrocephalus
- Congenital Obstructive Hydrocephalus
- Acquired Obstructive Hydrocephalus
Based on Patient Demographics
- Pediatric ETV
- Adult ETV
- Standard ETV
Based on the Surgical Approach
- Flexible Endoscope ETV
- Rigid Endoscope ETV
Hydrocephalus is treated via endoscopic third ventriculostomy (ETV), which removes the brain's excess cerebrospinal fluid (CSF) accumulation. The ETV makes a tiny hole in the third ventricle's floor to allow CSF to flow in a new direction, aiding in pressure reduction without using a shunt.
In order to evaluate your general health and comprehend your symptoms, your surgeon will perform a physical examination and prescribe tests prior to a ventriculostomy. The surgery will be planned based on imaging and test findings. Following surgery, you might need to make arrangements for assistance at home, finish more testing, and modify your medication. During your pre-surgery examination, make sure to ask your care team any questions you may have.
Your surgeon will plan a ventriculostomy by performing a physical examination and reviewing imaging studies. You may need to stop taking certain medications, taking antibiotics, and taking additional tests. Making arrangements for assistance at home following surgery is also crucial.
After making a tiny incision, a surgeon inserts an endoscope—a thin, flexible tube with a light and camera on the end—into the bottom of your third ventricle. Because of its central placement, the third ventricle is simple to reach and see. The opening allows your body to drain into the surrounding tissue to reabsorb the CSF.
Depending on the complexity and urgency of the case, a ventriculostomy procedure usually takes 20 to 45 minutes.
- The catheter or surgical site can become infected
- Bleeding at the catheter insertion site
- Brain damage or stroke may occur if the catheter is placed poorly
- A blocked or dislodged catheter prevents proper drainage of cerebrospinal fluid
- Over-drainage or under-drainage may lead to collapse
- Relieves pressure on the brain
- Enables CSF drainage
After a ventriculostomy, post-operative recovery usually requires careful observation in an intensive care unit (ICU). Medical professionals examine for infection or complications, evaluate the drainage system, and monitor intracranial pressure. The underlying disease determines the recovery time; however, most patients need to stay in the hospital for several days and may require follow-up imaging or additional treatment.
Endoscopic Third Ventriculostomy (ETV) has a success rate of approximately 74.7% in adults, while some studies have found success rates as high as 87%.
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Apollo Multispecialty Hospitals
Kolkata, India
Types of Endoscopic Third Ventriculostomy in Apollo Multispecialty Hospitals and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Endoscopic Third Ventriculostomy (Overall) | 5627 - 8043 | 471049 - 640328 |
| Standard ETV | 2804 - 3918 | 228442 - 326042 |
| Neuroendoscopic ETV | 3318 - 4783 | 273298 - 388027 |
| Combined ETV and Choroid Plexus Cauterization (CPC) | 3887 - 4419 | 326838 - 365330 |
- Address: Apollo Gleneagles Hospitals, Canal Circular Road, Kadapara, Phool Bagan, Kadapara, Kolkata, West Bengal, India
- Facilities related to Apollo Multispecialty Hospitals: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities
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+99Process Involved for Endoscopic Third Ventriculostomy in Kolkata
- Consultation: Meet with a neurosurgeon or neurologist to assess symptoms and the need for ETV.
- Pre-surgical Examination: Review medical history and symptoms and perform imaging tests to confirm the diagnosis of hydrocephalus.
- Discussion of Treatment: Evaluate if ETV is the appropriate option or if alternative treatments are required.
- Surgical Planning: Discuss the procedure, risks, benefits, and expected recovery.
- Post-Surgery Follow-up: Monitor recovery, manage potential complications, and assess the procedure's success through follow-up imaging and symptom review.
- Obstructive Hydrocephalus
- Aqueductal Stenosis
- Normal Pressure Hydrocephalus (NPH)
- Cerebral Tumors
- Communicating Hydrocephalus
- Obstructive hydrocephalus (obstruction of the brain ventricles leading to accumulation of fluid)
- A common cause of blockage is aqueductal stenosis, or the constriction of the aqueduct of Sylvius.
- The condition is termed normal pressure hydrocephalus (NPH) if surgery is more favourable than shunt placement.
- The underlying cause of persistent headache, nausea, and vomiting symptoms is increased intracranial pressure.
- Relief from Symptoms of Hydrocephalus
- Minimally Invasive
- Faster Recovery Time compared to traditional shunt placement
- Long-Term CSF Flow Improvement
- Reduced Dependency on Shunts
- Neurosurgeon
- Neurologist
- Fill out the inquiry form: Fill out the form to provide us with the relevant information about your condition.
- Consult with Our Healthcare Expert: One of our qualified specialists will contact you for a consultation.
- Receive a Detailed Treatment Plan: After examining your situation, we will provide you with a detailed treatment plan that includes expert views and cost breakdowns for various choices.
- Choose your preferred option: Choose the treatment option that suits you the best.
